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老年胃肠道肿瘤患者静息能量代谢特点
引用本文:李惠子,刘英华,张荣欣,徐庆,张新胜,唐云,薛长勇,郭长江. 老年胃肠道肿瘤患者静息能量代谢特点[J]. 军医进修学院学报, 2011, 32(1): 41-43,58
作者姓名:李惠子  刘英华  张荣欣  徐庆  张新胜  唐云  薛长勇  郭长江
作者单位:1. 军事医学科学院,卫生学环境医学研究所,天津,300050;第二炮兵总医院,营养科,北京,100088
2. 解放军总医院,营养科,北京,100853
3. 解放军总医院,普通外科,北京,100853
4. 军事医学科学院,卫生学环境医学研究所,天津,300050
摘    要:目的观察老年胃肠道肿瘤病人静息能量代谢(Resting Energy Expenditure,REE)的特点。方法选择老年(≥60岁)胃肠道肿瘤患者和非肿瘤患者(对照组)各60例,应用间接测热仪对其进行REE测定,根据MNA法评价营养状况,计算Harris-Benedict公式预测值。结果老年男性肿瘤患者REE较对照组低,且差异有统计学意义;H-B公式预测值明显高于REE测定值,差异有统计学意义;临床估计能量供给的经验值平均为REE测量值的1.5倍。结论老年胃肠道肿瘤患者静息能量消耗较非肿瘤患者有所下降,H-B公式法不能准确预测病人的能量消耗,经验估计值可能会造成过度喂养。

关 键 词:老年人  胃肠肿瘤  能量代谢  量热法,间接

Features of resting energy expenditure in elderly patients with gastrointestinal cancer
LI Hui-zi,LIU Ying-hua,ZHANG Rong-xin,XU Qing,ZHANG Xin-sheng,TANG Yun,XUE Chang-yong,GUO Chang-jiang. Features of resting energy expenditure in elderly patients with gastrointestinal cancer[J]. Academic Journal of Pla Postgraduate Medical School, 2011, 32(1): 41-43,58
Authors:LI Hui-zi  LIU Ying-hua  ZHANG Rong-xin  XU Qing  ZHANG Xin-sheng  TANG Yun  XUE Chang-yong  GUO Chang-jiang
Affiliation:LI Hui-zi1,2,LIU Ying-hua3,ZHANG Rong-xin3,XU Qing3,ZHANG Xin-sheng3,TANG Yun4,XUE Chang-yong3,GUO Chang-jiang1 1Institute of Hygiene and Environmental Medicine,Academy of Military Medical Sciences,Tianjin 300050,China,2Department of Nutrition,General Hospital of Second Artillery,Beijing 100088,3Department of Nutrition,Chinese PLA General Hospital,Beijing 100853,4Department of General Surgery
Abstract:Objective To observe the features of resting energy expenditure(REE) in elderly patients with gastrointestinal cancer.Methods Sixty patients with gastrointestinal cancer and 60 non-cancer patients at the age of 60 or over 60 years were enrolled as experimental group and control group,respectively.Their REE was assessed by indirect calorimetry and their nutritional status was estimated by mini-nutritional assessment(MNA).The REE value was predicted following the Harris-Benedict equation.Results The REE was l...
Keywords:Aged  Gastrointestinal Neoplasms  Energy Metabolism  Calorimetry  Indirect  
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